SynthesisInternational journal of environmental research and public health2016
Comparison of the Ability to Predict Mortality between the Injury Severity Score and the New Injury Severity Score: A Meta-Analysis.
Synthesis in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06705959 (Can NISS or ISS Better Predict Mortality in Blunt Trauma Patients? A Prospective Study), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Can NISS or ISS Better Predict Mortality in Blunt Trauma Patients? A Prospective Study
Who cites it
49 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Multistage investigation of predictive factors for tracheostomy in brain injury: a bibliometric, descriptive, and retrospective analysis.Frontiers in neurology · 2025Pooled it
- Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis.BMJ open · 2020Pooled it
- Article
- A different perspective in trauma patients: can pan-immune-inflammation value (PIV) predict mortality?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Predictive performance of ISS and NISS for clinical outcomes in severely injured trauma patients: a retrospective registry study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Observational
- Trends in Etiology and Mortality in Severe Polytrauma Patients with Traumatic Brain Injury: A 25-Year Retrospective Analysis.Journal of clinical medicine · 2025Article
- Unplanned intensive care unit admissions in trauma patients: A critical appraisal.World journal of critical care medicine · 2025Article
- Evaluation of Traumatic Brain Injury Severity Using the Abbreviated Injury Scale and the Injury Severity Score: A Retrospective Study in Two Eastern European Centers.Journal of clinical medicine · 2025Article
- Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study.Surgery in practice and science · 2025Article
- The predictive value of the lactate/albumin ratio combined with APACHE II and injury severity score for short-term prognosis in patients with polytrauma.European journal of medical research · 2025Article
- Risk factors for rehospitalization after trauma: a follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Imaging of musculoskeletal injury: timing estimation and medico-legal issues.La Radiologia medica · 2025Review
- Article
- Early mortality prediction after severe trauma using ensemble machine learning: a single-center retrospective study.Frontiers in public health · 2025Article
- Predictive value of qSOFA and hypothermia combined with PT for prognosis in patients with severe trauma: a single-center retrospective cohort study.BMC emergency medicine · 2024Article
- Injury Severity Score Precision for Determining Undertriage in Trauma Consultation Patients: A Retrospective Study.Cureus · 2024Article
- Article
- Comparative Evaluation of Mortality Predictors in Trauma Patients: A Prospective Single-center Observational Study Assessing Injury Severity Score Revised Trauma Score Trauma and Injury Severity Score and Acute Physiology and Chronic Health Evaluation II Scores.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDescription of the anatomical severity of injuries in trauma patients is important. While the Injury Severity Score has been regarded as the "gold standard" since its creation, several studies have indicated that the New Injury Severity Score is better. Therefore, we aimed to systematically evaluate and compare the accuracy of the Injury Severity Score and the New Injury Severity Score in predicting mortality.
methodsTwo researchers independently searched the PubMed, Embase, and Web of Science databases and included studies from which the exact number of true-positive, false-positive, false-negative, and true-negative results could be extracted. Quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies checklist criteria. The meta-analysis was performed using Meta-DiSc. Meta-regression, subgroup analyses, and sensitivity analyses were conducted to determine the source(s) of heterogeneity and factor(s) affecting the accuracy of the New Injury Severity Score and the Injury Severity Score in predicting mortality.
resultsThe heterogeneity of the 11 relevant studies (total n = 11,866) was high (I² > 80%). The meta-analysis using a random-effects model resulted in sensitivity of 0.64, specificity of 0.93, positive likelihood ratio of 5.11, negative likelihood ratio of 0.27, diagnostic odds ratio of 27.75, and area under the summary receiver operator characteristic curve of 0.9009 for the Injury Severity Score; and sensitivity of 0.71, specificity of 0.87, positive likelihood ratio of 5.22, negative likelihood ratio of 0.20, diagnostic odds ratio of 24.74, and area under the summary receiver operating characteristic curve of 0.9095 for the New Injury Severity Score.
conclusionThe New Injury Severity Score and the Injury Severity Score have similar abilities in predicting mortality. Further research is required to determine the appropriate use of the Injury Severity Score or the New Injury Severity Score based on specific patient condition and trauma type.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.